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Rev. Amy Ziettlow

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Thoughts on Mercy and Suicide

Posted: 04/23/2012 1:54 pm

Is there a glimmer of mercy in the universe?

Dwelling in silence this morning in the ballet studio, I reflected on the 35 years I have called the ballet barre home. As I looked across the room my eye caught the image of one of my fellow classmates who recently moved to the area and is struggling to get her feet settled. A few weeks ago she shared after class some of her frustrations and how without this class to attend she probably would have given up and gone back home. I smiled in resonance with her sentiment. How many times in my life has a dance class been my salvation? Even at my lowest I could step to the barre and somehow the music and the mirror reflected back to me that I belong, I am not alone, there is more to life than this current frustration, this current setback, this current reality. Dance has often provided a glimmer of mercy in the universe when I have needed it most.

As a sophomore in high school I read Camus' "The Stranger" with rapt attention. Drinking coffee at his mother's funeral, abetting his neighbor's brutality, repeatedly shooting a man simply because he is hot, Meursault was and remains a distasteful stranger to me. I could resonant with his longing for meaning in the great vastness of the universe but when he eventually opened his soul to the signs and stars of a benign, indifferent universe, I thought, NO. Even in the broken cruelty of a Flannery O'Connor character, there is always one who glimpses a place of mercy in this often hard and mysterious world. A grandmother witnesses the brutal killing of her family and as she converses with the serial killer who will indifferently execute her as well, she will not allow the cruel brutality of another to snuff out the whisper of mercy in her existence. She could have titled this story the soul-crushing, hopeless: "There are no good men." But instead a glimmer of mercy is seen in the title of her story: "A Good Man is Hard to Find." No puppy dogs and rainbows, but a glimmer.

Of late, another HuffPost blogger, Elizabeth Marquardt, and I have conversed at length about a family she wrote about recently where the caregiving husband kills his wife and then himself. I have shared with her that I am haunted by the husband's picture, which for some reason, the Alzheimer's Reading Room shared when they broke the news of his and his wife's death. The echoes of every 75-year-old man I have ever known or served as a pastor lives in his smile. Gazing at his picture, a list of names and faces of my own run like a ticker tape through my mind. I see their smiles, their families and their stories of sacrifice, health crises, relentless debility and crushing grief at all that can be lost before death, and I wonder: Why murder and suicide for one and not for so many others?

I have been asked that question about hospice patients many times. "Do a lot of patients commit suicide?" And my answer is always a resounding, "No." On the one hand I understand a healthy person being perplexed that one would not want to end life when the promises of tomorrow are waning, but that perspective seems naĂŻve and a bit sheltered. Over a decade of serving countless individuals, I have only experienced one suicide. That suicide devastated that family and our hospice team in ways that death never has. As our team sat with counselors to process our thoughts and emotions I wondered, "We are around death 24/7. Most of the people at this table are on call at night and on weekends. I have taken calls on Christmas and been with families and our team whenever needed. Why does this suicide grieve us so acutely?" The only word I could find was mercy. Part of the beauty I have seen on a hospice team is the abiding belief in the inherent mercy of the universe which may be communicated through a cool rag on a forehead, a reassuring voice over the telephone, through the mystical moments when a person is still with us and yet already gone. We focus on alleviating pain, loneliness and fear, because those experiences build on the relentlessly unmerciful elements of existence. In finding the unique expressions of mercy in a person's life, we contribute to ongoing glimmers of mercy in the universe.

Many have implied that a caregiver killing his wife and then himself is merciful. Euthanasia proponents will even use the term "mercy killing." But I take issue with that use of the word mercy. I know that psychologists and counselors, Alzheimer's and grief experts will say that suicide is always the result of a mix of nature and nurture, chemical make-up and mental health, circumstance and chance. There will be many caregivers and experts who will argue that I have no idea how hard being a caregiver is. And I agree. As with the many roles we play, the true burden of caregiving can only be experienced first-hand, and though my caregiving experience thus far has been for young ones and not a spouse or elder, I know that the trek of caring for a loved one is rife with moments where it can feel like the stars and signs of the universe gaze down with unfeeling and unmerciful indifference.

But when I use the word "mercy" I try to do so carefully. When I think of mercy, I think of receiving undeserved or unmerited kindness or treatment. A merciful act is one that reconnects us to humankind -- reminds us that we belong, that we are not alone, and that our lives have meaning beyond the current reality. Who among us has not or will not be in need of mercy one day, and I believe that onus for providing a glimmer of mercy in the universe for all those in need of finding one rests on each of us.

"On the just and unjust, alike it doth rain,
And the quality of mercy is not strained."

--Michelle Shocked

To read more from Amy Ziettlow, visit www.familyscholars.org.

 
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HUFFPOST SUPER USER
wbthacker
Can YOU pass the Turing Test?
10:55 AM on 04/25/2012
Rev. Ziettlow struggles with the idea that euthanasia can be "mercy". I wonder if her connection to hospice may be the reason.

The element she seems to overlook is "suffering". Obviously a patient who's suffering has a lower quality of life and less desire to prolong it.. And seeing a loved one in pain takes a double toll on the caregivers; not only is it hard to see him suffer, there's mental stress from the nagging worry, "Am I doing everything I can to help him?" If the patient is conscious he sees his caregivers suffering and feels guilty, creating a feedback loop.

Hospice care is wonderful because it minimizes the patient's suffering and assures his loved ones that everything possible is being done.

But imagine someone dying without a nurse there to administer morphine and do other things to relieve discomfort. It's not hard to imagine the patient wanting to end the pain for himself and his family, or to imagine the caregivers wishing his suffering would end sooner rather than later.

Even without pain, what if his death stretches over months, not days? How long until he's fed up with lying there, unable to enjoy life and burdening his loved ones? How long can the caregivers keep up their support and disrupt their normal lives -- jobs, social activities, etc.?

Where suffering is involved or quality of life is low for extended periods, I think euthanasia *can* be an act of mercy.
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Robert J. Feldman
Lawyer www.newyork-criminal-defense.com
07:56 AM on 04/25/2012
The quality of mercy for others and ourselves IS unstrained.

If you think about it, although we may not be destined to die five minutes from now, we are all, without exception, going to die at some point. There is nothing surer than this. Victor Hugo says, "We are all under sentence of death, but with a sort of indefinite reprieve."

Ideally, we should live every minute of our lives valuably, as if it were the last moment of our lives. Those of who among us live aimlessly are inevitable left with a sense of emptiness at the end of their lives, but those who live all-out, striving right to the end, will die peacefully.

Leonardo da Vinci says, "As a well-spent day brings happy sleep, so life well used brings happy death." One aware that death could come at any time will live each day to the fullest.

ALL that matters is how we live our last day(s) or last month(s) or last year(s)!
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01:42 AM on 04/25/2012
Well it is good to hear that liberal and conservative religious can find common ground in some areas. They both think human beings don't have a right to autonomy. You go letting people have basic rights to their own bodies, and they might go and exercise it in ways us people that know better disagree with. Clearly we need the government to prevent such blatant acts of individualism.
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Annie Snyder
Not Going to Sit Down and Shut Up
09:06 PM on 04/24/2012
Pardon me, but you're full of it. Come talk to me about "mercy" and the merits or otherwise of euthanasia after you've watched your 75 pound mother slowly gasp out her last days after spending years during which she knew no one, including herself. After she spent months lying diapered, staring at the ceiling. We treat a suffering animal with more love and compassion than our fellow humans. Until you've stood by someone you loved, and begged the universe for their death, you're not qualified to comment on this subject.
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methodman
12:53 AM on 04/24/2012
With all respect sister Amy get off the undeserved crap. People who make gains work at it sister. Sorry I have yet to meet people who alter their lives without increasing their reading and writing levels. There is no mercy coming from the religions. I agree with you there. However the world is not mysterious. As there really are 5 basic dance steps. It is a fact. Facts build up concrete and analogues and abstract concrete that stem into surprising vines that literature can steer you through. But coming along by dragging facts is necessary. You should look at a book Brilliance by design. It is concrete and uses religious words to come into the cold world of math and science. I am not religious because of points of views like yours which I hostilely oppose. but that book might send you a better direction.
07:14 PM on 04/23/2012
It's a dangerous of semantics that you play here, especially when one speaks in metaphors: "A merciful act is one that reconnects us to humankind -- reminds us that we belong, that we are not alone, and that our lives have meaning beyond the current reality." Although I suspect that you did not intend it to be a metaphor, but when one uses broad and ambiguous terms as "humankind," "meaning," and "reality," one inevitably creates metaphors. I could just easily argue that allowing euthanasia--or "mercy" killings--is not only the highest example of mercy that one can find, but also the highest example of respecting the dignity of humans to chose for some themselves.
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kathy smelser
09:20 AM on 04/24/2012
i agree